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Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
January, 2010, Vol. 10, Issue 01
Massage Chairs: Fad, Fixture or Therapeutic Tool?
By Raymond Blaylock
The debate goes on. Some people still consider massage chairs, and the work performed on them, a form of "fluff and buff" massage, not true therapeutic massage. Some would offer that seated massage is a good marketing tool to get people into the office or clinic to get some "real" massage.
My original introduction to the use of a massage chair was during a time when my practice was located within a physical therapy rehab center in Monterey, Calif. So my frame of reference to the use of a massage chair was for people who were so physically uncomfortable that it was not possible for them to lie down on a table. In some instances my initial work was done with them on a stool. Certain types of dysfunction such as whiplash, rotator cuff injury rehab and low back discomfort seemed to present instances where the positioning on a massage chair made the massage work easier to perform and less of an energy drain on my body.
The original massage chairs in this country, and all chairs since (save for a couple of exceptions), have been designed on the concept of the back-saver chair that became popular in the early 1980s. You remember the design; a chair with no back and a slanted seat with slanted kneepads for the legs. The design was the brainchild of a Danish orthopedist, with the thought being in this position you could not "slouch" and your vertebrae were "stacked" in a fairly straight column. The chair was done for people who were spending many hours sitting at a desk doing repetitive motions with their hands above their waists, and developing the compensatory low back discomfort and cervical immobility that is associated with that type of position.
The Danish orthopedist theorized that the position in the back-saver chair relieved about 70 percent of the pressure at L-5, S-1. Although the back-saver chairs never became a large market, home versions were developed, and high-tech Sharper Image versions exist today, but research never could verify the stated hypothesis.
My experience has been that it is an effective position for individuals with low back pain. At just about every show that I have ever done over the last 17 years, I have had at least one individual who was complaining of low back discomfort tell me that the discomfort had significantly subsided after they had sat down on the chair, many times before I had even had them lean forward into the chest pad and headrest.
In the rehab setting, the chair was very significant in that I could get the chair to fit each individual according to his or her body size and type. I could put them into a supported position with the weight and pressure off L-5,S-1. A two-fold advantage exists due to the seat and leg position design of the chair and the effect on the lumbar area; and the weight and pressure release on the cervical area, due to the position and support of the head in the adjustable headrest. When the client is properly positioned, the spine is in this supported position allowing the muscles of the client's back and neck to relax, releasing biomechanical tension. The spine is ideally reasonably straight after you adjust the client in the chair with a line drawn along the lateral body from the center of the ear through the greater trochanter. The pressure on the cervical area and the lumbar region is reduced dramatically. Actually, in this position you can usually detect hypertonic tissue like a "speed bump." Plus, I think that if you just left them in the chair for 10-15 minutes in this position they would experience a certain level of release without even putting your hands on their bodies. When we do begin to use our hands, the position in the chair has helped them to become relaxed and has already relieved some of the existing tension in the cervical area and the lumbar region. In effect, the chair has already done some of the work for us.
I have found that most upper body work can be performed in a massage chair more efficiently, with about a quarter to a half the energy expenditure on my part needed for table work. For some of the work on the hand, arm and shoulders, I can actually sit down while being incredibly effective.
It has been said, "You can't build a house with just a hammer." I am assuming this would include "remodeling," too. For myself, after 36 years of doing bodywork, I know I need tools to assist me in my continued proficiency and longevity in this profession.
Perhaps it is time for you to take another look at the massage chair in a different light. When I say we can do business everywhere, what about other countries and customs related to touch? Take a look at this link to a Web site called the Business of Touch: www.businessoftouch.com.
Raymond Blaylock, practitioner and educator, is the director of education at the Touch Resource Institute. He may be contacted by email
or through his Web site: www.mytouchresources.com.
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